Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $400.00 / $1,460.00	Facility		$51.00	$400.00	$1,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $51.00 / $68.84	Professional		$43.35	$51.00	$68.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121,498.80 / $121,498.80 / $152,998.50	Facility		$121,498.80	$121,498.80	$152,998.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121,498.79 / $145,798.54 / $164,023.35	Professional		$121,498.79	$145,798.54	$164,023.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Professional		$67.31	$67.31	$67.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $25.03 / $41.11	Professional		$20.26	$25.03	$41.11